Organization Active NPI

J Brogan Lopez DDS PA

  • Dental Clinic/Center
  • Fort Smith, AR
National Provider Identifier
1639804453
Registry record updated Jul 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
J BROGAN LOPEZ DDS PA
Practice address
2414 S 58TH St
Fort Smith, AR 72903-3827
Phone
(479) 452-3368
NPI assigned
Jul 18, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. James Brogan Lopez, DDSNPI 1174184923
Title
Owner/Dentist
Phone
(901) 828-9261

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

2414 S 58TH St
Fort Smith, AR 72903-3827

Mailing address

1112 Autumn Oaks LN
Fort Smith, AR 72903-2218
Phone (901) 828-9261

National Provider Directory

National Provider Directory

Locations

2414 S 58th St
Fort Smith, AR 72903
Phone (479) 452-3368

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1658102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658102400000",
    "number": "1639804453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 AUTUMN OAKS LN",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729032218",
            "telephone_number": "901-828-9261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2414 S 58TH ST",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729033827",
            "telephone_number": "479-452-3368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J BROGAN LOPEZ DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-18",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "BROGAN",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "901-828-9261",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Smith, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.